Wazni Oussama M, Tsao Hsuan-Ming, Chen Shih-Ann, Chuang Hsuan-Hung, Saliba Walid, Natale Andrea, Klein Allan L
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio 44195, USA.
J Am Coll Cardiol. 2006 Nov 21;48(10):2077-84. doi: 10.1016/j.jacc.2006.06.072. Epub 2006 Nov 1.
Atrial fibrillation (AF) is he most commonly encountered arrhythmia in clinical practice, with an overall prevalence of 0.4% in the general population. Recent advances in technology and in the understanding of the pathophysiology of AF have led to more definitive and potentially curative therapeutic approaches. Echocardiography has a well-established role in the assessment of cardiac structure and function and risk stratification, and has become an essential part of the guidelines for management of AF. The development of intracardiac echocardiography has led to real-time guidance of percutaneous interventions, including radiofrequency ablation and left atrial appendage closure procedures for patients with AF. Other imaging modalities, including computed tomography and magnetic resonance angiography, have allowed for more accurate measurement and better understanding of the cardiac anatomy. We review the impact of various imaging modalities in the evaluation and management of AF.
心房颤动（AF）是临床实践中最常见的心律失常，在普通人群中的总体患病率为0.4%。技术的最新进展以及对AF病理生理学认识的加深，带来了更具确定性且可能治愈的治疗方法。超声心动图在评估心脏结构和功能以及风险分层方面具有既定作用，已成为AF管理指南的重要组成部分。心腔内超声心动图的发展实现了对经皮介入治疗的实时引导，包括针对AF患者的射频消融和左心耳封堵手术。其他成像方式，包括计算机断层扫描和磁共振血管造影，能够更准确地测量并更好地了解心脏解剖结构。我们综述了各种成像方式在AF评估和管理中的影响。
